XIAP Regulates Cytosol-Specific Innate Immunity to Listeria Infection

The inhibitor of apoptosis protein (IAP) family has been implicated in immune regulation, but the mechanisms by which IAP proteins contribute to immunity are incompletely understood. We show here that X-linked IAP (XIAP) is required for innate immune control of Listeria monocytogenes infection. Mice deficient in XIAP had a higher bacterial burden 48 h after infection than wild-type littermates, and exhibited substantially decreased survival. XIAP enhanced NF-κB activation upon L. monocytogenes infection of activated macrophages, and prolonged phosphorylation of Jun N-terminal kinase (JNK) specifically in response to cytosolic bacteria. Additionally, XIAP promoted maximal production of pro-inflammatory cytokines upon bacterial infection in vitro or in vivo, or in response to combined treatment with NOD2 and TLR2 ligands. Together, our data suggest that XIAP regulates innate immune responses to L. monocytogenes infection by potentiating synergy between Toll-like receptors (TLRs) and Nod-like receptors (NLRs) through activation of JNK- and NF-κB–dependent signaling.


Introduction
The inhibitor of apoptosis (IAP) family of proteins plays a key role in cellular signaling, such as apoptosis, by binding to proapoptotic proteins, interrupting the intrinsic programmed cell death pathway and activating anti-apoptotic mechanisms [1][2][3]. In addition to modulating apoptosis, recent genetic studies have revealed that a Drosophila IAP protein, diap2, acts as a regulator of anti-microbial immunity [4][5][6][7]. Innate immune signaling pathways are well conserved from Drosophila to humans, suggesting that IAP proteins may also play a role in mammalian innate immunity [8]. This hypothesis is consistent with a study demonstrating that cIAP2 exacerbates endotoxic shock in mice by controlling macrophage apoptosis [9]. Furthermore, a cohort of patients with X-linked lymphoproliferative syndrome (XLP) were found to have mutations in the gene encoding XIAP, resulting in a primary immunodeficiency [10]. XIAP, also known as BIRC4 and hILP, contains three baculoviral IAP repeat (BIR) domains, the characteristic protein-protein interaction domain of the IAP family [11]. XIAP also has a carboxy-terminal RING domain with E3 ubiquitin ligase activity that directs proteasomal degradation of target proteins [12]. Multiple signaling pathways can be modulated by XIAP, including NF-kB, MAP kinase and TGFb signaling [13][14][15][16]. Moreover, XIAP can integrate cellular responses to diverse stimuli by interacting directly with ligands such as copper to regulate copper homeostasis [17]. XIAP has been predominantly characterized as an inhibitor of apoptosis, and interacts with many known mediators of programmed cell death, such as JNK, TAK1, TAB1, TRAF6, and caspases-3, -7, and -9 [3,13,18,19]. However, XIAP-deficient mice do not appear to have striking defects in apoptosis, thus the role of XIAP in vivo is not yet clearly understood [20].
The innate immune response protects host organisms against invading pathogens prior to the onset of adaptive immunity. Pathogens stimulate innate immune signaling through pattern recognition receptors (PRR), which recognize well-conserved pathogen-associated molecular patterns (PAMPs) [21]. PAMPs are detected at the host membrane by TLRs, and in the cytosol by the NLR and the RIG-I-like helicase (RLH) sensors [22,23]. Stimulation of either extracellular or intracellular PRR can result in activation of NF-kB and MAP kinase signaling pathways, leading to production of inflammatory mediators such as cytokines and costimulatory molecules [24]. Activation of TLRs and NLRs together can induce synergy between the signaling pathways, resulting in enhanced activation of innate and adaptive immunity [25,26]. Listeria monocytogenes is a cytosolic bacterial pathogen used extensively to probe aspects of innate and adaptive immunity [27]. L. monocytogenes is recognized by TLRs expressed on the surface of phagocytes [27]. After phagocytic uptake, L. monocytogenes escapes from host vacuoles by secreting a pore-forming toxin, listeriolysin O (LLO) [28]. Once in the cytosol, L. monocytogenes can trigger oligomerization and signaling by NOD1 and other NLRs [29]. Here we show that XIAP plays a protective role during infection by L. monocytogenes. We present evidence that amplifying JNK activation and subsequent proinflammatory cytokine production in response to cytosolic bacteria is one mechanism by which XIAP modulates innate immunity.

XIAP regulates innate immunity to L. monocytogenes
We first tested the hypothesis that XIAP contributed to antimicrobial immunity by infecting xiap +/y and xiap 2/y mice with 1610 5 L. monocytogenes and determining survival over time ( Figure 1A). At 7 dpi (days post infection), 60% of the XIAPdeficient mice had succumbed to infection, whereas all wild-type mice survived. Similarly, at higher doses of L. monocytogenes more xiap 2/y than xiap +/y mice succumbed to infection, although some xiap +/y mice also became moribund (unpublished data). Depending upon the inoculum, morbidity and mortality of xiap 2/y animals occurred between 2 and 5 dpi, prior to peak development of adaptive immunity, suggesting that XIAP had a protective effect during the innate response to bacterial infection. To better define the role of XIAP during innate immunity to intracellular bacterial infection, we infected wild-type and XIAP-deficient mice intraperitoneally with 5610 5 L. monocytogenes, and harvested spleen and liver to enumerate bacterial burden at 24, 28 and 72 hpi ( Figure 1B). By 48 h, xiap 2/y mice had approximately 10-fold more L. monocytogenes in liver and spleen at 48 hpi compared to the xiap +/y mice, consistent with our observation of their decreased survival. At 72 hpi, the difference between the xiap +/y mice and the xiap 2/y was even more pronounced, with the xiap 2/y mice supporting 100-fold greater bacterial numbers. These results indicate that XIAP mediates innate resistance to L. monocytogenes infection.
Mutations in XIAP have been associated with the human immunodeficiency syndrome, XLP [10]. One feature associated with this disease is an abnormally low number of natural killer Tcells (NKTCs), although it is not yet clear how much this phenotype contributes to immunodeficiency. To determine if mice lacking XIAP exhibit a similar phenotype to XLP patients, we quantitated the percentage of NKTCs in the spleen of xiap +/y and xiap 2/y mice ( Figure 1C). No significant difference in the number of splenic NKTCs was observed between xiap +/y and xiap 2/y mice, indicating that survival of NKTCs in uninfected mice is not affected by a deficiency in XIAP, consistent with a previous report [10]. To determine if NKTC survival or activation was dependent on XIAP during L. monocytogenes infection, we infected animals and determined the number of splenic NK1.1 + CD3 + NKTCs that expressed CD69, a marker of activation ( Figure 1D). We observed similar numbers of activated NKTCs in xiap +/y and xiap 2/y mice. These data suggest that XIAP does not play an important role in NKTC survival or activation in a murine model of listeriosis.
We then tested the role of XIAP during infection of primary macrophages, an innate immune effector cell and a wellcharacterized host for L. monocytogenes replication. We infected unactivated bone marrow derived macrophages (BMDMs), BMDMs activated with LPS and IFNc or peritoneal macrophages with L. monocytogenes and measured intracellular bacterial growth over time ( Figure 2). All types of xiap +/y and xiap 2/y macrophages controlled L. monocytogenes infection equally well. We conclude from these data that XIAP does not contribute directly to restriction of L. monocytogenes growth in macrophages, even though XIAPdeficient mice exhibited an increased bacterial burden compared to wild-type mice. Taken together, our results demonstrate that XIAP is required for a protective immune response to L. monocytogenes infection in vivo.
Translocation of NF-kB in response to L. monocytogenes is enhanced by XIAP XIAP can activate NF-kB-dependent transcription in response to apoptotic stimuli [14]. In addition to regulating apoptosis, the canonical NF-kB p50/p65 heterodimer has a well-established role in proinflammatory cytokine transcription stimulated by TLR and NLR signaling [21]. Expression profiling of unactivated macrophages infected with L. monocytogenes did not reveal reproducible differences between wild-type and XIAP-deficient macrophages (unpublished data). We then reasoned that activated macrophages might be a more relevant environment for studying XIAP function. We therefore investigated whether XIAP regulated NFkB-dependent processes during L. monocytogenes infection in activated macrophages by measuring translocation of p50 to the nuclear compartment. Activated BMDM were infected with wildtype L. monocytogenes, and translocation of the p50 subunit of NF-kB was analyzed by immunoblot ( Figure 3A). As early as 0.5 hpi, p50 was detected in the nuclear fraction of both xiap +/y and xiap 2/y cells; however, in the presence of XIAP there was substantially more p50 in the nuclear fraction over time. We also measured DNA binding activity of the p65 subunit of the p50/p65 heterodimer in the nuclear fraction of uninfected and L. monocytogenes infected activated macrophages ( Figure 3B). At 1 and 2 hpi, infected xiap +/y macrophage nuclear lysates contained significantly more NF-kB DNA binding activity than infected xiap 2/y nuclear lysates, suggesting that XIAP might enhance signaling of NF-kB-dependent pathways stimulated by bacterial infection.
In some contexts, XIAP-dependent NF-kB activation can protect against apoptotic stimuli; therefore we tested if XIAP modulated apoptosis during L. monocytogenes infection. We first examined apoptosis in activated macrophages during L. monocytogenes infection by flow cytometry of infected cells using Annexin V (AnnV), an indicator of apoptosis ( Figure 3C). A modest but reproducible increase in apoptosis was observed by 3 hpi in XIAPdeficient macrophages compared to wild-type macrophages, which remained consistent throughout infection ( Figure S1A). We also examined apoptosis in infected liver and spleen at sites of L. monocytogenes replication 48 hpi by performing TUNEL staining ( Figure 3D). Although the extent of apoptosis at foci of infection were heterogeneous, there did not appear to be any notable difference in the number or distribution of apoptotic cells per focus in xiap +/y compared to xiap 2/y livers or spleens. We did not observe any XIAP-dependent difference in the numbers of AnnV + T or B

Author Summary
During a bacterial infection, the innate immune response plays two critical roles: controlling early bacterial replication and stimulating the adaptive immune response to clear infection. Host recognition of bacterial components occurs through pathogen sensors at the cell surface or within the host cell cytosol. Inhibitor of apoptosis proteins (IAPs) have been recently implicated in immune regulation, but how IAPs contribute to immunity is incompletely understood. Here, we show that X-linked IAP (XIAP) protects against infection by the cytosolic bacterial pathogen, Listeria monocytogenes, which causes severe disease in neonates and immunocompromised individuals. We found that XIAP enhanced MAP kinase signaling in L. monocytogenes infected macrophages, a key innate immune effector cell. Additionally, XIAP enabled synergy between cell surface and cytosolic bacterial sensors, promoting increased gene expression of proinflammatory cytokines. Our findings suggest that IAPs are integral regulators of innate immune signaling, coordinating extracellular and intracellular responses against microbial components to control bacterial infection.   Figure S1B). In addition, caspase-3 cleavage in infected activated macrophages was not significantly altered (unpublished data). While the infected xiap 2/y macrophages exhibited a modest increase in cell death, we found no striking evidence for regulation of apoptosis by XIAP in the context of L. monocytogenes infection in vivo. Thus, XIAP regulates NF-kB activation during L. monocytogenes infection, but may enhance innate immunity by modulating cellular responses other than apoptosis in infected macrophages.

XIAP modulates JNK activation in response to cytosolic L. monocytogenes
In addition to NF-kB activation, TLR and NLR sensing of microbial infection stimulate MAP kinase phosphorylation, leading to activation [30]. Previous reports suggested that XIAP can promote JNK phosphorylation via interaction with TAB1 and the MAP3K, TAK1 [14,16,31]. To determine if XIAP affected JNK phosphorylation during L. monocytogenes infection, we performed immunoblot analysis of infected lysates from xiap +/y and xiap 2/y activated macrophages using a phospho-JNK specific antibody ( Figures 4A and S2A). Upon infection with wild-type L. monocytogenes, JNK phosphorylation occurred as early as 0.5 hpi in both xiap +/y and xiap 2/y cells. In the xiap 2/y macrophages, JNK phosphorylation peaked at 0.5 hpi. However, in the presence of XIAP, enhanced JNK activation was prolonged up to 6 h. This suggests that XIAP augments JNK signaling during wild-type L. monocytogenes infection. To determine the contribution of XIAP to cytosol-specific signaling, we compared wild-type L. monocytogenes infection with a strain deficient in LLO or heat-killed L. monocytogenes (HKLM), which both remain trapped in the vacuole. The LLO 2 bacteria and HKLM induced JNK phosphorylation at 0.5 hpi similarly to infection by wild-type bacteria, suggesting that this early JNK phosphorylation was linked to signaling from the vacuole, most likely through TLRs. However, JNK phosphorylation in response to vacuolar bacteria quickly diminished after 30 min, in contrast to the extended XIAP-dependent JNK activation observed during wild-type bacterial infection. To confirm that enhanced JNK phosphorylation in xiap +/y activated macrophages resulted in downstream signaling, we examined phosphorylation of c-jun, a target of JNK, by immunoblot ( Figures 4B and S2B) [32]. Upon infection by wild-type L. monocytogenes, c-jun phosphorylation was prolonged in xiap +/y but not xiap 2/y cells, similarly to JNK phosphorylation. Moreover, activation of c-jun upon infection by LLO 2 bacteria was considerably decreased compared to wild-type bacteria. To determine if XIAP also stimulated activation of other MAP kinase family members, we analyzed phosphorylation of p38 and ERK by immunoblot of infected macrophage lysates ( Figures 4C, 4D, S2C, and S2D). ERK1 and ERK2 were phosphorylated equivalently in xiap +/y and xiap 2/y macrophages in response to infection by all L. monocytogenes strains. As previously shown, p38 phosphorylation was decreased during infection by vacuolerestricted bacteria compared to wild-type bacteria [33]. Phosphorylation of p38 upon infection with wild-type L. monocytogenes was not significantly affected by XIAP. These data demonstrate that XIAP prolongs JNK activation specifically in response to cytosolic L. monocytogenes.

L. monocytogenes induced proinflammatory cytokine expression is enhanced by XIAP
Since XIAP modulated JNK and NF-kB signaling in the context of infection, we hypothesized that induction of proinflammatory cytokines through these pathways would also depend on XIAP. Activated macrophages were infected with L. monocytogenes for 3 h, and RNA was analyzed by qRT-PCR to determine the expression of a subset of genes involved in innate immunity ( Figures 5A and S3). Transcription of il6, tnf, il10, mip2, and kc was strongly upregulated upon infection in the presence of XIAP, while induction of ifnb, il1b, ido, and inos was not significantly altered. To assess if XIAP-dependent gene expression correlated to increased protein production, we compared the secretion of IL-6 and TNF from uninfected and infected activated macrophages ( Figure 5B and 5C). Upon infection by wild-type L. monocytogenes, IL-6 and TNF secretion was induced to a greater extent in xiap +/y macrophages than in xiap 2/y macrophages, while infection with the LLO 2 mutant induced little IL-6 and TNF secretion by either genotype. To determine if JNK activation was required for HK Listeria induction of IL-6 gene expression and secretion in response to wild-type L. monocytogenes infection, we treated activated macrophages with the JNK inhibitor SP600125 ( Figure 5D). IL-6 secretion by infected macrophages was markedly diminished by JNK inhibition, indicating that JNK activation is required for IL-6 induction by L. monocytogenes. Moreover, since LLO 2 mutant bacteria stimulated robust but temporally limited JNK phosphorylation and little IL-6 secretion, we infer that prolonged JNK activation is necessary for maximal IL-6 production during intracellular infection by L. monocytogenes. When L. monocytogenes infected cells were treated with an ERK-specific inhibitor, IL-6 secretion was similar to the untreated infected control cells. These results collectively suggest that the presence of XIAP enhances JNK activation in response to cytosolic bacteria, resulting in increased production of proinflammatory cytokines.

XIAP promotes proinflammatory cytokine expression in vivo during L. monocytogenes infection
To determine if XIAP enhanced proinflammatory gene expression in vivo, we performed qRT-PCR analysis on splenic RNA. RNA was isolated from splenocytes harvested from uninfected animals or animals infected with L. monocytogenes for 48 h (Figure 6). We examined the expression of several proinflammatory cytokines including IL-6, TNF, and IFN-c, produced during the innate immune response that are critical for clearing L. monocytogenes infection [34][35][36]. The expression of il6 and ifng were significantly enhanced in the presence of XIAP during infection, while expression of tnf and ifnb were not altered. We also examined the expression of il17, a cytokine known to enhance expression of il6; we observed no reproducible differences in the expression of il17 [37]. These data confirm the results from our in vitro macrophage model; that XIAP promotes the expression of proinflammatory cytokine genes in response to L. monocytogenes infection.

XIAP enables synergy between TLR and NLR signaling
Innate immune signaling mediated by pattern recognition receptors, located on cellular membranes or in the host cytosol, stimulates transcription and secretion of proinflammatory cytokines. We used purified TLR and NLR ligands to better define a role for XIAP in innate immune signaling. Wild-type and XIAPdeficient activated macrophages were treated with TLR ligands, and secretion of IL-6 and TNF was measured after 24 h ( Figure 7A and unpublished data). While some PAMPS, such as the lipoprotein Pam 3 CSK 4 , could induce high levels of IL-6 and TNF, we found no XIAP-dependent differences in proinflammatory cytokine induction. These results suggest that XIAP does not contribute to cytokine output in response to TLR stimulation alone.
During a physiological infection, intracellular pathogens activate both extracellular and cytosolic innate immune pathways resulting in a coordinated immune response [27]. One wellcharacterized consequence of microbial sensing by cytosolic NLR proteins is activation of caspase-1, which cleaves pro-IL-1b into its mature form [38]. Since XIAP can regulate the activity of some caspases, we tested whether XIAP contributed to IL-1b production, measured by ELISA, as an indicator of caspase-1 activation ( Figure 7B). Consistent with previous reports, IL-1b production was induced by cytosolic L. monocytogenes, but was not dependent upon XIAP [39]. We next examined the activation of NLR signaling using MDP, a ligand for NOD2 ( Figure 7C-7E). No differences in cytokine secretion were observed by treatment with MDP alone, however, during a physiological infection bacteria likely present both TLR and NLR ligands to an infected host cell. PAMPs contained by L. monocytogenes include lipoprotein, muramyldipeptide, bacterial DNA and flagellin [27]. To determine if XIAP enhanced synergy between TLRs and NLRs, we examined IL-6, TNF and IL-1b secretion from xiap +/y and xiap 2/y activated macrophages in response to the lipopeptide Pam 3 CSK 4 , the NOD2 ligand MDP, or both ( Figure 7C-7E). When Pam 3 CSK 4 and MDP were used in combination, we saw a substantial increase in IL-6 and TNF secretion by xiap +/y but not xiap 2/y activated macrophages. We did not see any XIAP-dependent enhancement of IL-1b secretion in response to Pam 3 CSK 4 and MDP in combination. To better deconstruct how XIAP might participate in integrating TLR and NLR signaling, we analyzed transcription of the il6 gene from xiap +/y and xiap 2/y activated macrophages treated with MDP, Pam 3 CSK 4 , or both ligands ( Figure 7F). Pam 3 CSK 4 induced expression of the il6 gene in an XIAPindependent manner. Upon treatment with MDP, xiap +/y but not xiap 2/y macrophages, responded by upregulating il6 transcript levels approximately 5-fold. When macrophages were treated with both ligands, xiap +/y macrophages exhibited enhanced expression of il6 compared to treatment of Pam 3 CSK 4 alone, but xiap 2/y macrophages did not. These results demonstrate that XIAP promotes synergy between the TLR and NLR pathways, resulting in increased production of pro-inflammatory cytokines.

Discussion
Here we show that XIAP can regulate innate immunity to the bacterial pathogen, L. monocytogenes by modulating JNK and NF-kB signaling, resulting in enhanced cytokine production. We found little evidence to suggest that XIAP regulated apoptosis of bacterially infected cells in vitro or in vivo, but instead found that XIAP promoted synergistic inflammatory cytokine expression induced by extracellular and cytosolic innate immune signaling upon bacterial infection of activated macrophages. Specifically, XIAP amplified the cytosolic response to MDP or wild-type L. monocytogenes. These data identify XIAP as a regulator of cytosolic innate immune signaling. Notably, another IAP family member NAIP5 was found to mediate caspase-1 activation in response to cytosolic bacterial flagellin [40][41][42]. NAIP5 function in innate immunity could be attributed to the atypical domain structure of this IAP protein that exhibits similarities to the NLR family of cytosolic sensors [43]. However, these data taken together with our results lead us to speculate that regulation of innate immune signaling is an important role of mammalian IAPs.
The IAP family appears to play multiple roles in mammalian biology, including protecting cells from apoptotic stimuli, regulating the cell cycle and modulating innate immune signaling. As a whole, these studies are consistent with genetic evidence in Drosophila demonstrating that dIAP1 primarily protects insect cells from programmed cell death, while dIAP2 is required for antimicrobial function of the Imd pathway [4][5][6][7]. The Imd pathway in Drosophila is activated by peptidoglycan recognition proteins (PGRPs), while functionally analogous innate immune sensing of peptidoglycan in mammalian cells occurs in the cytosol by NOD1, NOD2, and NALP3 [44]. The Imd protein in Drosophila shares sequence homology with the mammalian RIP proteins, and a mammalian paralog, RIP2, is an essential signaling adaptor for the cytosolic peptidoglycan sensors, NOD1 and NOD2 [8,[45][46][47]. Thus, the Imd/RIP innate immune signaling module appears to  have been co-opted for mammalian cytosolic surveillance for peptidoglycan. Genetic epistasis experiments in Drosophila place dIAP2 in parallel to TAK1 upstream of JNK and NF-kB signaling pathways [4]. Similarly, in mammalian cells, XIAP can modulate JNK and NF-kB signaling through TAK1 in endothelial cells and fibroblasts [13,48]. Activation of either NOD1 or NOD2 activates TAK1, leading us to hypothesize that during bacterial infection, XIAP may facilitate this key association, linking cytosolic sensors to downstream signaling mediators [49,50].
During infection, microbial pathogens present multiple PAMPs recognized by the innate immune system, eliciting a coordinated protective response. This concept is illustrated by the paradigm of IL-1b processing, where TLRs mediate transcription of pro-IL-1b; however, cleavage and secretion are dependent upon activation of the caspase-1 inflammasome by cytosolic PAMPs [51]. However, IL-1b deficient mice are as resistant to L. monocytogenes infection as wild-type mice, suggesting that other inflammatory cytokines mediate innate immune control of this infection [52]. In contrast, IL-6-, TNF-and IFNc-deficient mice are more susceptible to L. monocytogenes infection at 48 hpi than wild-type mice, demonstrating a requirement for IL-6, TNF, and IFNc in protection from this particular pathogen [34][35][36]53,54]. IFNc is largely produced by innate immune effector cells other than macrophages, thus our observation that ifng transcription is decreased in the spleens of L. monocytogenes-infected XIAP mutant mice must be due to either a XIAP-dependent cell autonomous defect in a different cell type or a non-autonomous defect in an IFNc producing cell resulting from a defect in macrophages [55]. Since XIAP is expressed in many different tissues, it is reasonable to suppose that XIAP may have pleiotropic effects in the innate immune response to L. monocytogenes [56]. However, macrophages are primary producers of IL-6 and TNF, and notably, NOD2 signaling is known to stimulate production of IL-6 and TNF [45,57]. The deficit in IL-6 and TNF production we observed in infected xiap 2/y activated macrophages, and the defect in gene expression in vivo likely contributes to the enhanced susceptibility of XIAP-deficient animals to L. monocytogenes infection. Recent reports indicate that macrophages treated with LPS become tolerized to re-stimulation with TLR ligands [58,59]. Additionally, when macrophages are tolerized by LPS, the role of NOD1 and NOD2 in cytosolic surveillance becomes more critical during infection [60]. In our model, macrophages are activated with LPS and IFNc prior to infection. When activated macrophages are infected with L. monocytogenes, the induction of proinflammatory cytokines is XIAPdependent, indicating that XIAP plays a more critical role in regulating the innate immune response to cytosolic pathogens in macrophages where the TLR pathway may be tolerized and an inflammatory gene expression program initiated. We use these data to integrate XIAP into a cytosolic surveillance model whereby upon recognition of microbial ligands in the cytosol by innate immune sensors such as NOD2, XIAP enhances association and function of signal transducers such as TAK1 and JNK [13,18]. Recruitment of signaling molecules by XIAP upon NLR stimulation would potentiate signaling pathways activated by TLRs, leading to maximal proinflammatory cytokine production.
Apoptotic and microbial stimuli activate similar signaling pathways, but may lead to different outcomes. Macrophages as innate immune effector cells can control microbial infection by secreting cytokines and other pro-inflammatory molecules or by carrying out programmed cell death [61]. It has been hypothesized that when macrophages receive a strong inflammatory stimulus, they undergo apoptosis rather than secreting cytokines as a means of protecting the host [40,62,63]. Although previous data implicated XIAP in modulating apoptosis, our data demonstrate that XIAP also has an important role in proinflammatory cytokine production. However, we suggest that these two functions for XIAP may not be completely distinct, as the outcome of XIAPdependent modulation of JNK and NF-kB pathways may depend on the quality and intensity of the stimulus [31]. Additionally, the ability of XIAP to regulate innate immunity is likely cell type and context dependent, as we did not see reproducible XIAPdependent transcriptional regulation in unactivated macrophages. Future studies will determine which aspects of XIAP function contribute to immune signaling and elucidate the complex role of XIAP in the mammalian immune response.

Animals, bacterial strains, and infections
Mice deficient in XIAP (accession #U88990) were generated on a 129/Sv6129/SvJ background as previously described [20]. The XIAP-deficient mice were backcrossed onto the C57Bl/6 background for more than 10 generations. Six-to 12-week-old male XIAP-deficient mice or wild-type littermate controls were used for infection experiments. All animals received humane care as outlined by the Guide for the Care and Use of Laboratory Animals (University of Michigan Committee on Use and Care of Animals). For cell culture infections, Listeria monocytogenes strains 10403S (wild-type) and hly 2 (LLO 2 ) were inoculated into liquid brain-heart infusion (BHI) broth and incubated at 30uC overnight without shaking [64]. Prior to infection, L. monocytogenes cultures were washed and resuspended in PBS. HKLM was prepared by incubating bacteria at 70uC for 1 h. For animal infections, L. monocytogenes was grown to log-phase in BHI and aliquots were stored at 270uC. For each experiment, a vial was back-diluted and allowed to grow to OD 600 0.5. The bacteria were washed in PBS and diluted before injection. Mice were injected intraperitoneally with 5610 5 L. monocytogenes equivalent to 0.5 LD 50 for infection by the intraperitoneal route in C57Bl/6 mice [65]. The number of viable bacteria in the inoculum and organ homogenates was determined by plating 10-fold serial dilutions on Luria broth (LB) agar plates. For evaluation of survival, animals were infected with 1610 5 or 5610 5 L. monocytogenes, and observed every 24 h postinfection. For histology, the spleen and liver from infected mice were harvested at 48 hpi and fixed in 10% neutral buffered formalin. Paraffin sections were prepared and stained with ApopTag by the Cancer Center Research Histology and Immunoperoxidase Lab at the University of Michigan.

BMDM culture
Bone marrow macrophages were differentiated in DMEM supplemented with 20% heat inactivated FBS, 2 mM L-glutamine, 1 mM sodium pyruvate, 0.1% b-mercaptoethanol, and 30% L929 conditioned medium. Bone marrow cells were cultured at an initial density of 10 7 cells per 150 mm non-tissue culture treated dish for 6 d, with fresh medium added at day 3. Cells were harvested with cold PBS without calcium and magnesium. BMDM were activated overnight in 10 ng/ml LPS (Sigma #L6143) and 10 ng/ml (100 U/ml) interferon-c (Peprotech #315-05). Activated macrophages were infected with L. monocytogenes at an MOI of 10, such that bacteria were observed in the cytosol in approximately 99% of the macrophages. Peritoneal macrophages were harvested by peritoneal lavage. Cells were pooled from two mice prior to plating. For L. monocytogenes growth curves, cells were plated on coverslips at a density of 1.7610 5 cells/ml in 24-well plates. Macrophages were infected with L. monocytogenes for 0.5 h, washed 3 times with PBS, followed by addition of fresh medium with 50 mg/ml gentamicin. At each time point, 3 coverslips were lysed in water and plated on LB agar plates for to determine CFU. IL-6 (R&D Systems), IL-1b (R&D Systems), and TNF (University of Michigan Cellular Immunology Core) in the culture medium were measured by ELISA. Where indicated, cells were treated for 30 min with TLR ligands as follows: MDP 10 mg/ml (Bachem #4009623), Pam 3 CSK 4 2 mg/ ml (Invivogen #tlrl-pms), poly (I:C) 10 mg/ml, LPS 10 ng/ml (Sigma #L6143), flagellin 10 ng/ml (Invivogen #tlrl-flic), imiquimod 5 mg/ml (Invivogen #tlrl-imq), CpG DNA 1 mg/ml (IDT CpG F , CpG R [59-AACGTCAGGAACGTCATGGA]). At 8 and 24 h post-treatment, supernatants were harvested for measurement of cytokines by ELISA. Inhibition experiments were conducted as described above, except cells were treated with 20 mM JNK inhibitor, SP600125 (Sigma #S5567), or 10 mM ERK inhibitor U0126 (Cell Signaling #9903) for 1 h prior to infection. For nuclear and cytoplasmic fractionation, cells were lysed in NP-40 lysis buffer (50 mM Tris pH 8.5 mM EDTA pH 8, 150 mM NaCl, 0.05% NP-40 [Igepal], EDTA-free protease inhibitor cocktail [Roche]). Nuclei were pelleted by centrifugation at 1,000 rpm for 5 min; the cytosolic fraction was further clarified by centrifugation at 14,000 rpm for 10 min. Nuclei were washed and either resuspended in 26 SDS-PAGE lysis buffer for immunoblot or lysed for NF-kB ELISA by resuspension in nuclear lysis buffer (20 mM HEPES pH 7.9, 400 mM NaCl, 1 mM EDTA, 10% glycerol, 0.1 mM DTT, EDTA-free protease inhibitor cocktail [Roche]) and incubated at 4uC for 30 min. Nuclei were flash frozen and used for NF-kB p65 ELISA analysis (Stressgen EKS-446).

Apoptosis assays
BMDM were plated and activated overnight in 10 ng/ml LPS and 10 ng/ml interferon-c. Cells were infected for 30 min at an MOI of 10, bacteria were removed by 3 washes with PBS, and fresh medium containing 50 mg/ml gentamicin added. At 3 hpi, the medium was removed and spun to collect any non-adherent cells; the remaining cells were removed from the dish by incubating with ice-cold PBS without calcium and magnesium for 20 min at 4uC. Cells were stained with Annexin V and propidium iodide according to the manufacturer's protocol (BD Biosciences #556420).

Flow cytometry
Splenocytes were harvested from uninfected or L. monocytogenes infected mice. BMDM were harvested from plates with ice cold PBS without Ca + or Mg + . Cells were blocked with F c block (BD Pharmingen 553142) for 15 min on ice. Cells were incubated in staining buffer (PBS, 10% FBS) with the indicated antibodies for 20 min on ice, followed by 3 washes in staining buffer. When necessary cells were incubated with secondary antibodies in staining buffer on ice for 20 min, and washed 3 times in staining buffer. Flow cytometric acquisition was performed on a FACS-Canto. The data was analyzed using FlowJo software. The following antibodies were used: from BD Pharmingen; B220-PE (553089), NK1.1-biotin (553163), CD69-PE (553237); from Southern Biotech CD3 (1530-02), Streptavidin-APC (7100-11L).

RNA isolation and quantitative RT-PCR analysis
For RT-PCR, total RNA was harvested from infected or treated cells at 3 hpi with the RNeasy Mini Kit (Qiagen). The RNA was used in a reverse transcriptase (RT) reaction with Moloney murine leukemia virus (MMLV) RT (Invitrogen). cDNA obtained from the RT reaction was used for qRT-PCR amplification and quantitation by SYBR Green (Stratagene MX3000p). Data was analyzed using the DDC t method (DDC t = 2 (DCt sample2DCt normalizer) ) with b-actin used as a normalizer for in vitro experiments and gapdh used as a normalizer for in vivo experiments. Sequences for qRT-PCR primers are described in Table S1.

Statistical analysis
A two-tailed t-test was used for statistical analysis; p values of #0.05 were considered significant, while p#0.001 were considered highly significant.  Figure S3 XIAP regulates induction of multiple proinflammatory response genes. QRT-PCR of genes associated with innate immune activation. BMDM were activated overnight with 10 ng/ ml LPS and 10 ng/ml interferon-c, followed by with L. monocytogenes for 30 min, and harvest at 3 hpi. RNA was isolated and used to prepare cDNA for qRT-PCR. Fold induction was calculated using the DDCt method, where uninfected samples were compared to infected samples relative to b-actin levels (error bars represent SD). *p#0.05; **p#0.005. Found at: doi:10.1371/journal.ppat.1000142.s003 (2 MB EPS)